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Minnesota Acute Stroke System Council

Minnesota Acute Stroke System Council. August 24, 2011. Agenda. Review of progress to date Survey Results Discussion: pre-notification Discussion: acute treatment protocols Announcement: stroke initiatives structure Next Steps. Objectives. Consensus on pre-notification

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Minnesota Acute Stroke System Council

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  1. Minnesota Acute Stroke System Council August 24, 2011

  2. Agenda • Review of progress to date • Survey Results • Discussion: pre-notification • Discussion: acute treatment protocols • Announcement: stroke initiatives structure • Next Steps

  3. Objectives • Consensus on pre-notification • Consensus on acute treatment protocol elements • Informed of organizational structure for stroke initiatives in Minnesota • Understand next steps for MASSC

  4. Survey • N=55 hospitals represented on Council (~43% of acute care hospitals in Minnesota) • Responses: 20 (45%)

  5. EMS Pre-Notification

  6. What types of information differs? • Information from ALS vs. BLS • Blood sugar; medical history; last known well/time of onset; stroke scale • Color (red/yellow/green) coding; “code grey” vs. “code stroke” vs. other

  7. How does receiving differing information impact care?* • Delays time to diagnosis • Sometimes causes delay in treatment • Lack of clarity may impact preparation time *Most commented more generally about how pre-notification improves lab, diagnosis, and treatment times, not about the impact of having inconsistent/varying pre-notification information)

  8. Do we need to have a single protocol or standards for pre-notification?

  9. Selected comments about having standards for EMS pre-notification • Would be helpful to know time of onset, BP, 10-15 minute notification • It’s a no-brainer! • Would be helpful for all patients • Need to be sensitive to resources available to various EMS systems • Essential • Help smaller EDs in planning • Need standardization of care, standard screens • Standardization would ensure appropriate assessments are done, including the most important information

  10. Discussion: pre-notification • Comments • Standards vs. a statewide protocol • What “product” should we adopt/develop? • Process: working group

  11. “Please list minimum elements for a diagnosis/treatment protocol” • Comments • “Standards” • What “product” should we adopt/develop? • Process: working group

  12. CT availability

  13. Next Steps • September: transport protocol • October: discussion of first drafts of products • EMS pre-notification standards; • Treatment protocol standards; • Transport protocol • November: ?

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